| NPI | 1477100311 |
|---|---|
| Former Name | LARISSA GLOWINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP020459) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP020459) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2024-05-06 |